Evidence map›Paper›PMID 38302448›Full record

ArticleSpinal cord series and cases2024

Identifying prescribers of antibiotics in a primary care spinal cord injury cohort.

Arrani Senthinathan, Melanie Penner, Karen Tu, Andrew M Morris, B Catharine Craven, Susan B Jaglal

Abstract read
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In one paragraph

Article in Spinal cord series and cases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Arrani SenthinathanInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada. arani.senthinathan@utoronto.ca.ORCID 0000-0002-9304-3039
Melanie PennerBloorview Research Institute/Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Karen TuDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Andrew M MorrisAntimicrobial Stewardship Program, University Health Network, Toronto, ON, Canada.
B Catharine CravenInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-8234-6803
Susan B JaglalInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective cross-sectional study.

objectiveTo identify who prescribes outpatient antibiotics among a primary care spinal cord injury (SCI) cohort.

settingICES databases in Ontario, Canada.

methodsA cohort of individuals with SCI were retrospectively identified using a tested-algorithm and chart reviews in a primary care electronic medical records database. The cohort was linked to a drug dispensing database to obtain outpatient antibiotic prescribing information, and prescriber details were obtained from a physician database.

resultsFinal cohort included three hundred and twenty individuals with SCI. The average annual number of antibiotic courses dispensed for the SCI cohort was 2.0 ± 6.2. For dispensed antibiotics, 58.9% were prescribed by rostered-primary care practice physicians, compared to 17.9% by emergency and non-rostered primary care physicians, 17.4% by specialists and 6.1% by non-physician prescribers. Those who lived in urban areas and rural areas, compared to those who lived in suburban areas, were more likely to receive antibiotics from emergency and non-rostered primary care physicians than from rostered-primary care practice physicians.

conclusionAlthough individuals with SCI received outpatient antibiotic prescriptions from multiple sources, physicians from an individual's rostered-primary care practice were the main antibiotic prescribers. As such, interventions to optimize antibiotics use in the SCI population should target the primary care practice.

Indexed as

Anti-Bacterial AgentsSpinal Cord InjuriesCross-Sectional StudiesDrug PrescriptionsHumansPractice Patterns, Physicians'Primary Health CareRetrospective StudiesAnti-Bacterial Agents

Identifiers

PMID38302448
PMCPMC10834400

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.